Marcus

@alhasandr1 @MattersoftheH14 @ED_Ultrasounder @doctor_roig @EM_RESUS @smithECGBlog @ECGfan @rob_buttner @EkgHacks @ecgrhythms @OnlyEcg1 @CardiacPA1 @ekgdx @TheEKGGuy @BrooksWalsh Terminal R in AVR with RS ratio greater than 0.7…wide complex, could it possibly be due to TCA OD?

Emergency medicine is a lifestyle, not just a job. You’ll see the sickest patients, the worst luck, and the darkest corners of humanity—& still be expected to smile, move fast, and get it right every time. A thread on what they don’t tell you about EM. 🧵

What causes acute kidney injury? Well, the list is long.... but IV contrast is not one of them. We reviewed 13 studies (9 retrospective, 4 prospective), which included 25,950 patients. Based on currently available data, CA-AKI is not a thing. Check out our review for more details. jem-journal.com/article/S0736-… @long_brit @MGottliebMD #emergency #emergencymedicine #criticalcare #icu #erlife #iculife #science #data #research #army #armymedicine #armyemdoc #resuscitation #kidney #nephrology #bean #medx #medtwitter

@ForGlobalEquity @slahri7 @rkalyes1 @kkananura @atuhairwe_irene @joseph_ngonzi @aalenyo Wow. Extreme sinus brady with Osborn waves indicating possible severe hypothermia. The STE in AVR with widespread STD also paints a picture of subendocardial ischaemia. Nice ECG

At #Ubuntu2024 where I co-facilitated an #Emergency Skills building workshop, our guest Prof @slahri7 had classical cases that are thought provoking. Eg. Adult male, alcoholic presents on ER unresponsive. ECG is done. DX? I hope he finds time to share more!

@HartJedd Well technically the ultrasound is extraglottic….

Which extraglottic device is the best?

@ecgandrhythmRoe Pericarditis. Saddle shaped widespread STE, STD in AVR. V2 also looks most convincing of Spodick’s sign.

Stabbing chest pain lasting for seconds several times a day for 3 weeks. What do you think?

@nickmmark All over South Africa, in the right patients of course.

This is the classic teaching but has anyone actually done an LP without a head CT first? (Assuming you work somewhere where head CT is readily available)

@jtrebach @DGlaucomflecken @LGlaucomflecken Did you know the credit card thing is likely a myth? In preparation for an anaphylaxis talk I came across this: aafp.org/pubs/afp/issue… Turns out just getting it out faster is what counts…for bees anyway. We don’t have yellow jackets in RSA. Hope the Glaucomfleckens are okay

@DGlaucomflecken @LGlaucomflecken (Realistically though: 1) get away from yellow jacket 2) make sure stinger isn’t stuck inside @LGlaucomflecken …if so, it needs to come out. Can gently scrape skin with credit card or something to remove stinger 3) clean area /w soap/water, use ice for swelling etc )

@jtrebach Help! @LGlaucomflecken got stung by a yellow jacket. What do we do? How much activated charcoal does she need?

Every inpatient specialty should have to rotate through the ED. I said what I said.

@HartJedd I kid(ney) you not

It takes guts to be an organ donor…

Hey @Metro_Fibre what contact details can you provide for escalating a complaint? It appears that everyone working for you thinks that simply ignoring repeated requests for redress is a viable option. Honestly, it’s embarrassing. Email, call center, WhatsApp….no feedback.

Predictions for 2024: EM will be nebulizing ketamine Paul Young will prove that progress notes don’t improve outcomes We all start ultrasounding tongues #medtwitter

Hi, ER Doc here. RT if you’ve ever done CPR on someone and they survived. Trying to prove something.

What does a cat have to do with major incident management (i.e MY HOSPITAL IS ON FIRE)? A short thread 🧵🪡

@BrownJHM @Radiopaedia I wanna say “what has being from South Africa got to do with it?”…..but we actually see this way too often.

A young man in South Africa presented with acute onset of confusion, headache and vision impairment for the last two days after consuming alcohol. What is the likely diagnosis? #Medtwitter (Image @Radiopaedia, case by Hidayatullah Hamidi)

Emergency medicine consults

@docvlok Nice Neville!

Happy to share the findings of my master’s study with the world. A 12-month retrospective descriptive analysis of a single helicopter e... sciencedirect.com/science/articl…

@radRounds Magnets?

What kind of material was ingested here when you see this pattern? #radtwitter #MedTwitter #medicine #radiology #meded (source: Cureus)

@MaxG693 @ecgoxford @smithECGBlog @BrooksWalsh @EM_RESUS @AslangerE Inferior OMI?

60+/F w giddiness,diaphoresis. Any comments? @smithECGBlog @BrooksWalsh @EM_RESUS @AslangerE

The emergency medicine residency interview

@EkgHacks Sokolov for precordial leads, also Rwave 11mm in AVL. The non-voltage criteria here is the strain pattern.

Today we have a 70 year-old female with hypertension, chest pain and a history of mitral valve replacement for rheumatic heart disease. What LVH criteria can you spot? #cardiotwitter